# GREAT LAKES MEDICAL, P,C,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GLADWIN URGENT CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750727129
- **Authorized official:** DR. RICHARD WAYNE MACAULEY M.D. (OWNER)
- **Authorized official phone:** (517) 449-2452

## Contact information

- **Practice address:** 1277 E CEDAR AVE, SUITE A, GLADWIN, MI 48624-7004
- **Practice address phone:** (989) 426-1100
- **Mailing address:** 1277 E CEDAR AVE, SUITE A, GLADWIN, MI 48624-7004
- **Mailing address phone:** (989) 426-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 04411G | MI | Yes |

## Other

- **Enumeration date:** 05/13/2013
- **Last updated:** 07/15/2013